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Rotator cuff tendonitis in lymphedema: A retrospective case series

Identifieur interne : 000351 ( PascalFrancis/Curation ); précédent : 000350; suivant : 000352

Rotator cuff tendonitis in lymphedema: A retrospective case series

Auteurs : Joseph E. Herrera [États-Unis] ; Michael D. Stubblefield [États-Unis]

Source :

RBID : Pascal:05-0040225

Descripteurs français

English descriptors

Abstract

Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.
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A08 01  1  ENG  @1 Rotator cuff tendonitis in lymphedema: A retrospective case series
A11 01  1    @1 HERRERA (Joseph E.)
A11 02  1    @1 STUBBLEFIELD (Michael D.)
A14 01      @1 New York-Presbyterian Hospital and University Hospitals of Columbia and Cornell @2 New York, NY @3 USA @Z 1 aut.
A14 02      @1 Memorial Sloan-Kettering Cancer Center @2 New York, NY @3 USA @Z 2 aut.
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C01 01    ENG  @0 Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.
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Pascal:05-0040225

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<div type="abstract" xml:lang="en">Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.</div>
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<fC03 i1="12" i2="X" l="ENG">
<s0>University</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Universidad</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Hôpital</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Hospital</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Hospital</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Ambulatoire</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Ambulatory</s0>
<s5>21</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Ambulatorio</s0>
<s5>21</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Glande mammaire</s0>
<s5>22</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Mammary gland</s0>
<s5>22</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Glándula mamaria</s0>
<s5>22</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Homme</s0>
<s5>23</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Human</s0>
<s5>23</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>23</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Historique</s0>
<s5>24</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Case history</s0>
<s5>24</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Estudio histórico</s0>
<s5>24</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Homolatéral</s0>
<s5>35</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Ipsilateral</s0>
<s5>35</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Ipsilateral</s0>
<s5>35</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Cancer du sein</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG">
<s0>Breast cancer</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA">
<s0>Cáncer del pecho</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE">
<s0>Impaction</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG">
<s0>Impingement</s0>
<s4>CD</s4>
<s5>97</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE">
<s0>Score</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG">
<s0>Score</s0>
<s4>CD</s4>
<s5>98</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Glande mammaire pathologie</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Juxtaarticulaire pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Juxtaarticular disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Yuxtaarticular patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Système ostéoarticulaire pathologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Diseases of the osteoarticular system</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Sistema osteoarticular patología</s0>
<s5>41</s5>
</fC07>
<fN21>
<s1>017</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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